People with pre-existing conditions represent a particular concern to be addressed in any reform plan, and personal experience with a state-based high risk plan suggests that should be part of the solution.

Medicaid, if it is to survive and our obligation to the poor means it must, has to be reset as the safety net program it was meant to be, not a backdoor vehicle for getting more and more people onto another entitlement.

Adjusting the Medicare age eligibility to reflect increased life expectancy and means testing that requires wealthy beneficiaries to pay some or all of their premium would have a major impact on Medicare sustainability.

In order to provide the public support necessary to care for the truly disadvantaged, we must stop continuing to expand the pool of people who get put into this category or the entire thing will collapse.